| Doctor Name: | DR. JASON WILLIAM MOORE |
| NPI Number: | 1003185414 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C., H.B.K. |
| License Number: | 32140 |
| Business Practice Address: | 31225 La Baya Dr Suite 202 Westlake Village, CA - 913624019 |
| Business Phone Number: | 8188519008 |
| Business Fax Number: | |
| Mailing Address: | 31225 La Baya Dr, Suite 202 WESTLAKE VILLAGE |
| State: | CA |
| Postal Code: | 913624019 |
| Phone Number: | 8188519008 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2011 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111NT0100X |
| License Number: | 32140 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | Thermography |
| Taxonomy Definition: | |